Qanjirada 'Pancreas divisum'

Xammeetida waa cilad dhalasho oo qaybo ka mid ah xammeetidu aysan ku soo biirin. Xammeetidu waa xubin dheer oo fidsan kuna taala inta udhaxeysa caloosha iyo lafdhabarta. Waxay ka caawisaa dheef shiidka cuntada.

Pancreas divisum waa cilladda ugu badan ee ku dhasho ee xammeetida. Xaalado badan, cilladan lama oga oo wax dhibaato ah ma keento. Sababta cilladda ayaan la ogeyn.

Markuu ilmuhu ku soo baxo ilmo galeenka, laba qaybood oo kala duwan oo ah unugyo ayaa isku taga si ay u samaystaan ​​beeryarada. Qayb kasta waxay leedahay tuubbo, oo loo yaqaanno marin biyood. Markay qaybaha isugusoo dhowaadaan, ayaa waxaa sameysmaya marin biyoodka ugu dambeeya, oo loo yaqaanno sanbabka ganaca (pancreatic). Dheecaanka iyo dheecaannada dheefshiidka (enzymes) ee ay soo saaraan ganaca sida caadiga ah waxay ku dhex socdaan marinkan.

Pancreas divisum waxay dhacdaa haddii tuubbooyinku ku soo biiraan inta ilmuhu korayo. Dheecaanka ka imanaya labada qaybood ee xammeetida waxa loo daadiyaa meelo kala duwan oo ka mid ah qaybta sare ee xiidmaha yar (duodenum). Tani waxay ku dhacdaa 5% ilaa 15% dadka.

Haddii marinka ganaca uu xirmo, barar iyo dhaawac soo gaara unugyada (ganaca) ayaa soo bixi kara.

Dad badan ayaan lahayn wax calaamado ah. Haddii aad qabto pankreatitis, astaamaha waxaa ka mid ah:

• Xanuun caloosha ah, inta badan caloosha sare oo laga dareemo dhabarka
• Barar caloosha ah (murugo)
• Lalabbo ama matagid

Waxaa lagaa qaadi karaa tijaabooyinka soo socda:

• Ultrasound caloosha
• Sawirka CT-ga ee caloosha
• Amylase iyo baaritaanka dhiigga lipase
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Magnetic resonance cholangiopancreatography (MRCP)
• Ultrasound-ka Endoscopic (EUS)

Daawooyinka soo socda ayaa loo baahan karaa haddii aad leedahay astaamo xaaladda ah, ama haddii ganaca uu ku soo noqdo:

• ERCP oo leh googoyn si loo weyneeyo furitaanka halka marin biyoodka ee ganaca ka baxo
• Meeleynta stent si looga hortago in marinku uu xirmo

Waxaad u baahan kartaa qalliin haddii daaweyntan aysan shaqeyn.

Inta badan, natiijada waa wanaagsan tahay.

Dhibaatada ugu weyn ee xiniinyaha divisum waa qanjidhada.

Wac daryeel caafimaad bixiyahaaga haddii aad isku aragto astaamaha cilladan.

Sababtoo ah xaaladani waxay jirtaa dhalashada, ma jirto hab la yaqaan oo looga hortago.

Kala-qaybsanaanta Pancreatic

• Qanjirada 'Pancreas divisum'
• Nidaamka dheefshiidka
• Qanjirada 'Endocrine'
• Xammeetida

Adams DB, Cote GA. Pancreas divisum iyo noocyo kale oo ka mid ah anatomy marinka marinka dhabarka. Gudaha: Cameron AM, Cameron JL, eds. Daaweynta Qalliinka ee Hadda. 13aad. Philadelphia, PA: Elsevier; 2020: 515-521.

Barth BA, Husain SZ. Anatomy, histology, embryology iyo horumarin la'aanta xammeetida. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger iyo Cudurka Mindhicirka iyo Beerka ee Fordtran: Pathophysiology / Diagnosis / Management. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 55.

Kumar V, Abbas AK, Astre JC. Xammeetida. In: Kumar V, Abbas AK, Aster JC, eds. Robbins Pathology aasaasiga ah. 10aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 17.